自力更生

别问我 你失败了
我不伤心么

因为 我
早已经
在你放弃我的时候
离开了你

new batch of prps

长江后浪推前浪
一代新人换旧人

new batch of PRPs are in
feel like my PRP life is ending soon

in fact, it only has 3 months left before i pass up my log books
less than 100 days to go

hmmm... need to start summing up what i have learned throughout the year
add oil !!!

badminton at MRC near Alor Setar Mall

just played badminton with Bala, Kok Kit, Wei Cheng and Wei Chern.
nice workout but injured my left leg at the end of the session
luckily it's not major injury
recovered after soon a short rest

quite enjoyed the games
a lot lot more to practice and improve


picture adopted from: http://dumbbellsforsale.com/blog/wp-content/uploads/2010/12/Badminton-shuttlecock.jpg

learned extemporanous preparation of lansoprazole and hydrochlorothiazide

Lansoprazole preparation
1 tablet = 30mg (capsule containing white granules)
strength = 3mg/ml
diluent = sodium bicarbonate 10%
1 tablet = 10ml sodium bicarbonate 10%
expiry date = 60 days

hydrochlorothiazide
strength = 5mg/ml
diluent = extempt
expiry date = 60 days
1 tablet = 50mg (orange round tablet)

今生缘

真心感谢 那些 每一站
为我留下的 每一个人

感恩

back to OPD - syrup Enalapril, pessary counselling, colchicine+allopurinol

my last attachment at OPD was last year October

things changed 

felt a bit lost today

it was 8:30am and there was no one c/f the DD

hmmm.. i was thinking who is the 'lucky' one today

after briefing with the HOD, i was assigned to do so

OMBBBBBBBBBBBB

what's worse was i forgot to jot down the patients' name that i filled 

luckily Loke helped me to find out who is the patient

millions thanks to her

learned to make enalapril syrup

Syrup Enalapril

strength: 0.1mg/ml

vehicle: distilled water

tablet: 10mg (orange long thin tablet)

procedure: crush -> mixed with some water --> make up to final volume

refreshed on pessary counselling - thanks to Adila

1. go to toilet + wash hand

2. lie down on bed

3. bent legs like this 

4. insert pessary into "ruang peranakan" OR "ruang bersalin" OR "ruang datang haid" OR "rahim" OR "ruang persetubuhan" OR "vagina" (use applicator if not pregnant: pull plunger -> insert drug -> insert into vagina -> push)

5. lie down for at least 20 minutes or until the next morning

6. wear pantyliner as there may be discharge 

7. NO sexual intercourse for at least 3 days, AFFECT latex contraceptive 

learned colchicine + allopurinol - thanks to Chow

acute attack: take colchicine 0.5mg TDS until pain relieved or diarrhoea ensues 

patient may continue allopurinol dose as usual

if it's a new patient, the patient with acute attach should be on colchicine until pain relieved then only start allopurinol

new hairstyle

the shortest haircut i have ever had!!!

in vino veritas

in vino veritas

酒後吐真言
telling the truth under the influence of alcohol

changing shifts

"hey, can you do me a flavour? i need your help in..."
...
"why should I? it isn't my problem."

lesson of the day:

don't take others kindness for granted

those who have helped me in the past
and those who are helping me
THANK YOU very much

also those who turned me down
you have taught me a lesson
you too deserve a sincere THANK



it's time for plan B

my萝卜腿

went for some gathering
and we did some workout

by the end of the session,
we had some chit chat and one of the guy said
"我最喜欢你的小腿，有大大块的muscle"

and i was like =.=
...
...
...
"... hahaha.."


hmm.. not bad..
at least there is someone like part of me. HAHAHA

lol.. gonna exercise more